Prescribed Pediatric Extended Care Services  

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    AGENCY FOR HEALTH CARE ADMINISTRATION
    Medicaid

    RULE NO: RULE TITLE
    59G-4.260: Prescribed Pediatric Extended Care Services

    NOTICE OF CHANGE

    Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 33, No. 2, January 12, 2007 issue of the Florida Administrative Weekly.

    These changes are in response to comments received from the Joint Administrative Procedures Committee and comments received at the public hearing. The rule incorporates by reference the Florida Medicaid Prescribed Pediatric Extended Care Services Coverage and Limitations Handbook, February 2007. The following changes were made to the handbook.

    Page 1-1, Purpose, we added, “Private duty nursing may be provided as a wraparound alternative for an individual needing additional services when PPEC is not available.”

    Page 2-2, Definition of Medically Complex, we added the specific rule citation of Rule 59G-1.010, F.A.C.

    Page 2-2, Definition of Medically Fragile, we added the specific rule citation of Rule 59G-1.010, F.A.C.

    Page 2-3, Recommendation for PPEC Services, second bullet, we added clarification that PPEC services must be reordered every six months.

    Page 2-9, Definition of Personal Care, we added the specific rule citation of Rule 59G-1.010, F.A.C.

    Page 2-9, Reimbursement Limitations, we added a note to see Units of Service in Chapter 3 for the definitions of unit of service for a full day and a partial day.